Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 05176 | Date 19/09/2023 |
| Token No | SM/22-23/13264 19/09/2023 | Serial | 029 |
| Patient Name | Mrs. LILA SHAW | Contact No | 7980540814 |
| Address | 21 BARAL BAGAN SERAMPORE 712201 | Age | 60 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||